- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Senior Auditor in GIA will work in a team environment to plan and execute ... processes, and key third-party outsourcing arrangements. Throughout the audits, the Senior Auditor will have the opportunity to interact with senior management and… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …assigned region. Primary functions will include assessing service delivery, documentation compliance , monitoring of client records, and serving as the representative ... regulations and familiarity with developmental disabilities services is a plus. Compliance & Enforcement: Responsible for conducting monthly and quarterly audit… more
- Atlantic Health System (Morristown, NJ)
- …and testing records for physician practices. + Evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact ... + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares...and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …in the development of guidelines for data quality, consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative ... that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Assists facility staff with documentation… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor . You will review claims (paid, pending, and denied)...services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies and procedures. You will: + Research… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Monitors regulatory and policy requirements ... coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... service issues. + Participates as a member of the chargemaster team, providing clinical support and expertise on compliance related charge functioning. +… more
- Sharp HealthCare (San Diego, CA)
- …+ 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of medical ... address issues identified through the audit/analysis.Identifies areas of potential compliance risk and notify management immediately.Identifies anomalies in coding.Identifies… more
- Highmark Health (Helena, MT)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Globus Medical, Inc. (Audubon, PA)
- …of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and ... quickly as possible. **Position Summary:** We are recruiting for an Associate Internal Auditor to work within our dynamic Internal Audit function. This person will… more